Korinne Lee, FNP - Medicare Nurse Practitioner in Surprise, AZ

Korinne Lee, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Surprise, Arizona. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ctca Physicians Group Of Arizona Llc and her current practice location is 14780 W Mountain View Blvd Ste 120, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 215-9460.

Korinne Lee is licensed to practice in Arizona (license number 240576) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790306744.

Contact Information

Korinne Lee, FNP
14780 W Mountain View Blvd Ste 120,
Surprise, AZ 85374-7280
(623) 215-9460
(623) 282-3576



Physician's Profile

Full NameKorinne Lee
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location14780 W Mountain View Blvd Ste 120, Surprise, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Korinne Lee graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1790306744
  • Provider Enumeration Date: 04/30/2020
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496177487
  • Enrollment ID: I20200619002516

Medical Identifiers

Medical identifiers for Korinne Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790306744NPI-NPPES
1790306744OtherAZNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 240576 (Arizona)Secondary
363LF0000XNurse Practitioner - Family 240576 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Western Regional Medical CenterGoodyear, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ctca Physicians Group Of Arizona Llc2264593474100

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Korinne Lee allows following entities to bill medicare on her behalf.
Entity NameCtca Physicians Group Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609026806
PECOS PAC ID: 2264593474
Enrollment ID: O20081205000793

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Entity NameWest Valley Endocrinology, Diabetes And Metabolism Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245758051
PECOS PAC ID: 0244596682
Enrollment ID: O20180131000447

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Entity NameOncology Care Partners Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801503339
PECOS PAC ID: 7416328554
Enrollment ID: O20230127000367

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Korinne Lee is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Korinne Lee, FNP
14200 W Celebrate Life Way,
Goodyear, AZ 85338-3007

Ph: (623) 466-4073
Korinne Lee, FNP
14780 W Mountain View Blvd Ste 120,
Surprise, AZ 85374-7280

Ph: (623) 215-9460

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